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New Member - Looking for TRT Docs in Ontario, Canada
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<blockquote data-quote="madman" data-source="post: 82059" data-attributes="member: 13851"><p>That's awesome good for you glad to hear! When you go for your appointment he should have a copy of your lab work faxed from your gp and if not than you will need to bring your most recent lab work. Explain to him exactly what symptoms you are experiencing and a brief history of when you felt changes occurring. Be honest. My main symptoms were loss of libido/low energy and also depression/irritable/angry(negative mood)/loss of muscle/ weakness and definitely poor recovery from workouts but I did not mention that as most do not really care about your workout recovery. The low libido/energy are two of the main symptoms of low t mind you not everyones libido vanishes as it may just diminish mine was basically null and void it scared the sh** out of me! He will explain to you that even though he prefers to have his patients testosterone levels in the high 20s nmol/L he does not just treat numbers but the patient and their symptoms is what matters. He will be very upfront and to the point as he does not waste time. When he looks at your numbers especially that you are experiencing low t symptoms he will more than likely tell you there are options such as hcg or clomid but will tell you that he will start you on a 6 month trial of testosterone if that is the route you choose and tell you the different methods of treatments such as patches/gels/injections. If you decide you want to pursue therapy I would just tell him you prefer injections as you have children and do not want to use the transdermals let alone I and many think injections are far more effective and easier to reach the higher end of test levels with i.m. For patients using injections, he will prescribe sub-q and I think most will start on 100mg/week he will book you for an injection clinic at the hospital to show you the procedure and do your first shot as he likes to teach his patients how to do their own injections at home which is great I think. He will give you a requisition for blood work to be done 6 weeks later and than at 8 weeks you will see him and he will ask how you are feeling overall and what if any type of symptom improvements you are experiencing and than go over your lab work and depending on how you feel and your testosterone levels(lab range) may leave you at that dose or increase your dose slightly if there is only little improvement and your numbers are still somewhat low. Overall symptom improvement is what is critical not just your numbers. Most need to have their test levels above 500ng/dL to experience improvement but even then that is only mid/normal and doctors in the know usually try to achieve a high normal 700-900ng/dL which is optimal for many. Mind you some do very well in the mid/normal range 500-600ng/dL whereas many do better in the high/normal range 800-1000 ng/dL but as I said overall symptom improvement and feeling well is what really matters. Originally I started at 100mg/week sub-q and for the first few weeks you are still producing endogenous test/combined with your exogenous test and you experience a short honeymoon period as your blood levels are in flux. You will hit some rough spots in the beginning as after a few weeks your hpta is shut down and it takes at least 6 weeks for your blood levels to stabilize. I noticed in the first few weeks I felt really good but at week 3 it started to get rough as I would feel good for the first 2-3 days after my injection than felt as if I was crashing.............mood/energy/libido ups and downs and as the weeks went on instinctively felt as if my levels were too low so had my bloods done at 6 weeks and my total came back at a dismal 16.8 nmol/L (480 ng/dL) and I did not feel well. At my follow up I knew my numbers ahead of time as I have my own account at LifeLabs and Dynacare. I told him how I felt overall and that there were some minor improvements but felt as if I was crashing 3-4 days after my injection and overall I did not feel great, with slight improvements in libido/energy/mood. He increased my dose and I was retested 6 weeks later my numbers had improved greatly as well as my symptoms strong libido/tons of energy and a stellar mood let alone stronger in the gym and much-improved recovery but that was the least of my concerns and even at 12 weeks in I felt great but it has been even better the longer I have been on as over time things seem to improve more and more. I am 9 months in now and feel the best I have felt in years! PM me after your appointment and I will give you advice! Wish you the best of luck and am confident he will treat you. Keep in touch with everyone as there are many experienced members on this forum with valuable information and will be more than happy to guide you on your journey as there is so much to learn and share, take care!</p></blockquote><p></p>
[QUOTE="madman, post: 82059, member: 13851"] That's awesome good for you glad to hear! When you go for your appointment he should have a copy of your lab work faxed from your gp and if not than you will need to bring your most recent lab work. Explain to him exactly what symptoms you are experiencing and a brief history of when you felt changes occurring. Be honest. My main symptoms were loss of libido/low energy and also depression/irritable/angry(negative mood)/loss of muscle/ weakness and definitely poor recovery from workouts but I did not mention that as most do not really care about your workout recovery. The low libido/energy are two of the main symptoms of low t mind you not everyones libido vanishes as it may just diminish mine was basically null and void it scared the sh** out of me! He will explain to you that even though he prefers to have his patients testosterone levels in the high 20s nmol/L he does not just treat numbers but the patient and their symptoms is what matters. He will be very upfront and to the point as he does not waste time. When he looks at your numbers especially that you are experiencing low t symptoms he will more than likely tell you there are options such as hcg or clomid but will tell you that he will start you on a 6 month trial of testosterone if that is the route you choose and tell you the different methods of treatments such as patches/gels/injections. If you decide you want to pursue therapy I would just tell him you prefer injections as you have children and do not want to use the transdermals let alone I and many think injections are far more effective and easier to reach the higher end of test levels with i.m. For patients using injections, he will prescribe sub-q and I think most will start on 100mg/week he will book you for an injection clinic at the hospital to show you the procedure and do your first shot as he likes to teach his patients how to do their own injections at home which is great I think. He will give you a requisition for blood work to be done 6 weeks later and than at 8 weeks you will see him and he will ask how you are feeling overall and what if any type of symptom improvements you are experiencing and than go over your lab work and depending on how you feel and your testosterone levels(lab range) may leave you at that dose or increase your dose slightly if there is only little improvement and your numbers are still somewhat low. Overall symptom improvement is what is critical not just your numbers. Most need to have their test levels above 500ng/dL to experience improvement but even then that is only mid/normal and doctors in the know usually try to achieve a high normal 700-900ng/dL which is optimal for many. Mind you some do very well in the mid/normal range 500-600ng/dL whereas many do better in the high/normal range 800-1000 ng/dL but as I said overall symptom improvement and feeling well is what really matters. Originally I started at 100mg/week sub-q and for the first few weeks you are still producing endogenous test/combined with your exogenous test and you experience a short honeymoon period as your blood levels are in flux. You will hit some rough spots in the beginning as after a few weeks your hpta is shut down and it takes at least 6 weeks for your blood levels to stabilize. I noticed in the first few weeks I felt really good but at week 3 it started to get rough as I would feel good for the first 2-3 days after my injection than felt as if I was crashing.............mood/energy/libido ups and downs and as the weeks went on instinctively felt as if my levels were too low so had my bloods done at 6 weeks and my total came back at a dismal 16.8 nmol/L (480 ng/dL) and I did not feel well. At my follow up I knew my numbers ahead of time as I have my own account at LifeLabs and Dynacare. I told him how I felt overall and that there were some minor improvements but felt as if I was crashing 3-4 days after my injection and overall I did not feel great, with slight improvements in libido/energy/mood. He increased my dose and I was retested 6 weeks later my numbers had improved greatly as well as my symptoms strong libido/tons of energy and a stellar mood let alone stronger in the gym and much-improved recovery but that was the least of my concerns and even at 12 weeks in I felt great but it has been even better the longer I have been on as over time things seem to improve more and more. I am 9 months in now and feel the best I have felt in years! PM me after your appointment and I will give you advice! Wish you the best of luck and am confident he will treat you. Keep in touch with everyone as there are many experienced members on this forum with valuable information and will be more than happy to guide you on your journey as there is so much to learn and share, take care! [/QUOTE]
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New Member - Looking for TRT Docs in Ontario, Canada
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